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Laservue Eye Center A Medical Corporation
Non-Pharmacy Dispensing Site in Santa Rosa, California
NPI 1811372568

Laservue Eye Center A Medical Corporation is a Non-Pharmacy Dispensing Site based in Clearwater, CA. Laservue Eye Center A Medical Corporation practices in Santa Rosa, CA. The NPI Number for Laservue Eye Center A Medical Corporation is 1811372568 and holds a License No. G66178 (California).

The current practice location address for Laservue Eye Center A Medical Corporation is 3450 Mendocino Ave, Santa Rosa, CA and can be reached out via phone at 707-522-6200 and via fax at 707-522-6215.

Location: 3450 Mendocino Ave, Santa Rosa, CA, 33759-4904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811372568
Provider Name
Laservue Eye Center A Medical Corporation
Credential
Provider Entity Type
Organization
Address
3450 Mendocino Ave, Santa Rosa, CA, 33759-4904
Phone Number
707-522-6200
Fax Number
707-522-6215
Provider Enumeration Date
07/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 Mendocino Ave
City
Santa Rosa
State
California
Zip
95403-2221
Phone Number
707-522-6200
Fax Number
707-522-6215
person
Provider Business Mailing Address Details
Address
3450 Mendocino Ave
City
Santa Rosa
State
California
Zip
95403-2221
Phone Number
707-522-6200
Fax Number
707-522-6215
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
G66178 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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